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You should contact your healthcare provider promptly if you experience any of the following: Severe or worsening abdominal pain Bloating that does not improve after 2-3 weeks Significant distress or interference with daily activities Signs of dehydration, such as dizziness, dark urine, or reduced urination Signs of a possible allergic reaction (rash, swelling of face/throat, difficulty breathing) Bloating accompanied by persistent vomiting or inability to keep fluids down Long-term outlook The majority of patients find that bloating eases within 48 weeks as their bodies get used to the medication

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When to talk to your provider If you have reached the maximum recommended dose and maintained it for 12 to 16 weeks without achieving at least 5% body weight loss, a conversation with your provider is warranted

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